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PFD Week 2016
The Key to Preventing Transvaginal Mesh Erosion: U ...
The Key to Preventing Transvaginal Mesh Erosion: Utilizing Hydroditention during Proper
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Video Transcription
Video Summary
In this video, the surgeon demonstrates a surgical procedure using transvaginal mesh for reconstructive pelvic surgery on an 88-year-old patient with a history of pelvic organ prolapse. The surgeon begins by dissecting through the layers of the vaginal wall, using techniques to minimize erosion. A special needle with a rounded tip and colored gradations is used to insufflate the space with fluid. The anterior vaginal wall is incised, and the dissection continues deeper through the epithelium, lamina propria, muscularis, and connective tissue. Fat is observed, indicating that the dissection is in the correct space. The surgeon uses sharp instruments and blunt dissection to create a clear plane and develop a space for mesh placement. The video emphasizes the importance of proper dissection to minimize erosion and achieve successful mesh placement. No credits were granted for this video.
Asset Subtitle
Vincent Lucente, MD
Meta Tag
Category
Education
Category
Pelvic Organ Prolapse
Keywords
surgical procedure
transvaginal mesh
reconstructive pelvic surgery
pelvic organ prolapse
dissection
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